中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
24期
56-58
,共3页
腹腔镜%肠粘连%阑尾炎%疗效%安全性
腹腔鏡%腸粘連%闌尾炎%療效%安全性
복강경%장점련%란미염%료효%안전성
Laparoscopy%Adhesions%Appendicitis%Efficacy%Safety
目的：探究与分析腹腔镜联合手术治疗肠粘连合并阑尾炎的临床疗效及安全性。方法选取我院自2014年5月～2015年5月收治的120例肠粘连合并阑尾炎患者，采取随机数字表法分为常规治疗组与联合治疗组，每组各60例，常规治疗组给予常规开腹手术，联合治疗组给予腹腔镜阑尾切除术联合肠粘连松解术，对比二者临床效果。结果联合治疗组较常规治疗组相比，手术时间缩短、出血量减少、肠蠕动恢复时间缩短、住院时间缩短，P<0.05，差异具有统计学意义。常规治疗组的并发症发生率为16.67%，联合治疗组的并发症发生率为3.33%，联合治疗组的并发症发生率低于常规治疗组，P<0.05，差异具有统计学意义。结论对于肠粘连合并阑尾炎的患者采用腹腔镜阑尾切除术联合肠粘连松解术治疗可取得治疗效果，不仅减少了手术创伤，同时具有较高的安全性。
目的：探究與分析腹腔鏡聯閤手術治療腸粘連閤併闌尾炎的臨床療效及安全性。方法選取我院自2014年5月～2015年5月收治的120例腸粘連閤併闌尾炎患者，採取隨機數字錶法分為常規治療組與聯閤治療組，每組各60例，常規治療組給予常規開腹手術，聯閤治療組給予腹腔鏡闌尾切除術聯閤腸粘連鬆解術，對比二者臨床效果。結果聯閤治療組較常規治療組相比，手術時間縮短、齣血量減少、腸蠕動恢複時間縮短、住院時間縮短，P<0.05，差異具有統計學意義。常規治療組的併髮癥髮生率為16.67%，聯閤治療組的併髮癥髮生率為3.33%，聯閤治療組的併髮癥髮生率低于常規治療組，P<0.05，差異具有統計學意義。結論對于腸粘連閤併闌尾炎的患者採用腹腔鏡闌尾切除術聯閤腸粘連鬆解術治療可取得治療效果，不僅減少瞭手術創傷，同時具有較高的安全性。
목적：탐구여분석복강경연합수술치료장점련합병란미염적림상료효급안전성。방법선취아원자2014년5월～2015년5월수치적120례장점련합병란미염환자，채취수궤수자표법분위상규치료조여연합치료조，매조각60례，상규치료조급여상규개복수술，연합치료조급여복강경란미절제술연합장점련송해술，대비이자림상효과。결과연합치료조교상규치료조상비，수술시간축단、출혈량감소、장연동회복시간축단、주원시간축단，P<0.05，차이구유통계학의의。상규치료조적병발증발생솔위16.67%，연합치료조적병발증발생솔위3.33%，연합치료조적병발증발생솔저우상규치료조，P<0.05，차이구유통계학의의。결론대우장점련합병란미염적환자채용복강경란미절제술연합장점련송해술치료가취득치료효과，불부감소료수술창상，동시구유교고적안전성。
Objective To explore and analyze the clinical efficacy and safety of laparoscopic combined surgery in the treatment of patients with intestinal adhesion and appendicitis.Methods Our hospital were treated 120 cases of adhesions appendicitis patients from May 2014 to May 2015. They were divided into conventional treatment group and combined treatment group,each with 60 cases. Conventional treatment group received conventional open surgery, combined therapy group received laparoscopic appendectomy joint enterolysis,then contrasted the two clinical results.ResultsThe combined treatment group compared with the conventional treatment group,had shorter surgery time,reduced the amount of bleeding and bowel recovery time, and had shorter hospital stays,P< 0.05. Complications occurred in conventional treatment group was 16.67%,the incidence of complications in the combined treatment group was 3.33%,the incidence of complications in the combined treatment group was significantly lower than the conventional treatment group,P< 0.05.ConclusionFor patients with appendicitis adhesions using laparoscopic appendectomy joint enterolysis treatment can achieve significant therapeutic effect,not only reduce the surgical trauma, but also has high security.
